Clinical responsibilities may include arterial and central line management, bronchoscopy, chest tube insertion, intubation, pulmonary artery catheter insertion, targeted temperature management, continuous renal replacement therapy (CRRT), ventilator management, and management of Intra-Aortic Balloon Pumps (IABPs), ventricular assist devices, and Impella devices. Common conditions include cardiogenic shock, cardiac arrest, heart failure, cardiac arrhythmias, myocardial infarction, pulmonary hypertension, hypertrophic cardiomyopathy, hypertensive urgency or emergency, and advanced therapy evaluations involving Left Ventricular Assist Devices (LVADs) and heart transplantation.